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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: Adds a supplement to the State plan to definie the requirements of the Asset Verfication System as required under Sectio 1940 of the Social Security Act.
Summary: Institutes lock-in for NVs Medicaid Managed Care program. Also, adds age-out foster care recipients to the list of mandatory managed care populations and adds an annual redetermination of SED/SMI status required to maintain voluntary disenrollment.
Summary: Eliminates medically necessary dentures for adults and updates the effective date of the Arizona Medicaid Fee Schedule for reimbursement of the applicable non-institutional services.
Summary: Eliminates the hospice benefit for acute care program members with the exception of children under EPSDT and Arizona Long Term Care System members under 1115 waiver authority.
Summary: Adds Licensed Clinical Professional Counselors and Licensed Clinical Professional Counselor interns under the provider qualifications for a Qualified Mental Health Professional.
Summary: Clarification of reimbursement methodology for the Home Health Care Services. Increase Home Health care nursing and therapy rates for recipients under the age of 21 years.
